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Individual

DR. CHAN K BAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11410 NE 19TH ST, BELLEVUE, WA 98004-3030
(425) 635-9414
Mailing address
15513 SE 79TH PL, NEWCASTLE, WA 98059-9228

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE000007058
WA

Other

Enumeration date
10/11/2006
Last updated
12/08/2011
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